Individual
DR. TIFFANY M. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3564 PANOLA RD, LITHONIA, GA 30038-2731
(404) 593-3565
Mailing address
3564 PANOLA RD, LITHONIA, GA 30038-2731
(404) 593-3565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0121219
GA
Other
Enumeration date
03/13/2007
Last updated
07/09/2007
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